In this episode of Inside 340B Report, Ted, Shannon, Will and Bella break down the latest developments shaping the 340B landscape. The team discusses the latest state contract pharmacy bill developments and a dark-money group’s lobbying against them. They also touch on new GOP congressional budget proposals, new leadership at HHS and HRSA and key U.S. Senators’ remarks on 340B’s future.

Key Topics Covered:

State Contract Pharmacy Access and Provider Reporting Bills

With the 2025 legislative sessions underway, at least 16 states have introduced bills aimed at preventing drug manufacturers from restricting covered entities' access to 340B drugs through contract pharmacies. Meanwhile, several states have introduced legislation that would require 340B providers to publicly report financial data on their 340B savings, and how they reinvest them into patient care. While some bills, like one in Colorado, are more narrow in scope, others, such as those in Indiana and Vermont, impose extensive reporting requirements that many providers believe are overly burdensome and lack important context.

Dark Money Campaign Targeting Contract Pharmacy Access Bills

Building America’s Future, a dark money group that does not disclose its donors, has launched a new misleading ad campaign in four GOP-controlled states with pending contract pharmacy access bills that falsely claim 340B funds subsidize gender transitions for minors. Although the ads urge conservative lawmakers to reject the legislation, lawmakers in Kentucky and Nebraska advanced their bills.

Federal Developments

House and Senate Republicans have unveiled budget proposals that call for deep healthcare spending reductions, signaling potential major Medicaid cuts. The Senate voted to confirm Robert F. Kennedy Jr.’s nomination to lead HHS despite vocal pushback from Democrats. And the Health Resources and Services Administration swore in a new administrator. Two key U.S. Senators gave remarks on 340B at a D.C. conference hosted by the National Association of Community Health Centers.